SINGLE WIDOW CERTIFICATE

This is certify that Mst:______________________ is

the single widow of the deceased officer and entitled to all the
claim admissible to the family of the deceased officer.

UNDER TAKING
I Mst:_________________________ W/O Late
________________________, Ex-________________________,
hereby undertake, that there are no other claimants to the lump-
sum grant out of Benevolent Fund except those mentioned in the
list of family member.